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(Please print, sign and submit this form to your bank, not to Democratiya)
Standing Order Instruction
| To: | |
The Manager |
| Bank name: |
________________________________ |
| Bank address: |
________________________________ | | ________________________________ |
| Post code: |
_______________ |
| Sort code: |
____-____-____ |
| Please pay |
HSBC, 64 Highgate, Kendal, Cumbria, LA9 4TF |
| for the credit of |
Democratiya
| account no. | 01450972 |
| sort code | 40-26-02 |
|
| the sum of |
£_______________ monthly |
| starting on |
____/____/____ until further notice. |
| |
| Account to debit: |
________________________________ |
| Account number: |
________________________________ |
| |
| Signature: |
________________________________ |
| Date: |
____/____/____ |
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